Can my columella strut be removed during a revision?

Question

I really don't like how unnatural my nose feels when I make expressions. Would it be possible to remove my columella strut during a revision? My nose is also too high and overprojected so I do not mind if it drops alot.

Randal Haworth, MD, FACS · Answer

It all depends. It depends on why was it put there to begin with. Potentially if you needed it because your tip was very droopy, it would be unwise to remove it completely. Given that, it is possible for the plastic surgeon during your revision to either replace the strut or modify it, both in shape and size. In this way, your overprojection and rotation can be decreased and any excess colummelar show addressed as well. This unnatural stiffness you experience may or may not be helped. It is one trade off with rhinoplasty which I tell my patients before surgery that they would have a better looking nose but their nose may be stiffer than what they are used to. Most of my patients feel that it is an acceptable compromise and will much prefer a good looking stable nose which is stiff than an unstable poor looking nose that is soft.

I would advise you to go to your original surgeon to address this concern before you go to other consults with surgeons.

I hope this helps,
best of luck !

I would advise you to go to your original surgeon to address this concern before you go to other consults with surgeons.

I hope this helps,
best of luck !

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.In order to make a better evaluation for your case I would need your face photos. Anyway, with a revision rhinoplasty surgery it is possible to make the columella show less. From the information you provided, I think that your nose is upturned and overprojected. These can be corrected with a revision surgery.Best regards!

Eric M. Joseph, MD · Answer

Generally speaking, Columella Strut grafts can be removed shortened and repurposed during revision rhinoplasty surgery. If you have specific concerns about your nose, consider re-asking your question with photos. Hope this helps! Dr Joseph

Andrew Miller, MD · Answer

A colulmellar strut can certainly be removed during a revision. However it is most important to see a rhinoplasty specialist to see if that is the best thing to do based on how your nose looks. Go where you can have computer imaging at the same time to give an idea of what can be done.

Can my columella strut be removed during a revision?

Answers (4)

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